고유수용성 조절이 만성 편마비 환자의 균형에 미치는 영향
Effects of Proprioceptive Control on the Balance in Patients With Chronic Hemiplegia
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Hemiplegic patients usually present with difficulty maintaining balance. Balance retraining is the majorcomponent of rehabilitation program for patients with neurological impairment. The purpose of this studywas to investigate the effects of prorpioceptive exercise program on the improvement of balance in thepatients with chronic hemiplegia. Thirty subjects (mean age 57.0±9.8) were recruited and the subjectswere divided into a proprioceptive group and a visual group. The subjects for the proprioceptive groupwere participated in the proprioceptive exercise program for 4 weeks, and the visual group were treatedvisual feedback training using Balance Master. At 4 week follow-up test, Berg Balance Scale significantlyimproved 1.1 points (p<.01), Timed Up & Go test improved 4.2 second (p<.01), and weight distributionduring sit to stand also improved 5.0% (p<.01). As a result of this study, the proprioceptive control approachimproved dynamic balance in the patients with chronic hemiplegia. It is suggested that there wasno benefit of visual feedback training like as Balance Master when administrated in combination withother physical therapy interventions, compared with physical therapy alone using proprioceptive controlapproach to hemiplegia.
Abstract
Hemiplegic patients usually present with difficulty maintaining balance. Balance retraining is the majorcomponent of rehabilitation program for patients with neurological impairment. The purpose of this studywas to investigate the effects of prorpioceptive exercise program on the improvement of balance in thepatients with chronic hemiplegia. Thirty subjects (mean age 57.0±9.8) were recruited and the subjectswere divided into a proprioceptive group and a visual group. The subjects for the proprioceptive groupwere participated in the proprioceptive exercise program for 4 weeks, and the visual group were treatedvisual feedback training using Balance Master. At 4 week follow-up test, Berg Balance Scale significantlyimproved 1.1 points (p<.01), Timed Up & Go test improved 4.2 second (p<.01), and weight distributionduring sit to stand also improved 5.0% (p<.01). As a result of this study, the proprioceptive control approachimproved dynamic balance in the patients with chronic hemiplegia. It is suggested that there wasno benefit of visual feedback training like as Balance Master when administrated in combination withother physical therapy interventions, compared with physical therapy alone using proprioceptive controlapproach to hemiplegia.